| NPI | 1518522721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79912-012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-73177) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2021-03-23 |